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Lower Limb Amputation (with MCC)

Pennsylvania rates for MS-DRG 616

Amputation of Lower Limb for Endocrine, Nutritional, and Metabolic Disorders with MCC

Rates data updated July 2026.

How much does Lower Limb Amputation (with MCC) cost?

$52,481

Typical facility fee. In Pennsylvania, July 2026.

Insurers have agreed to pay about $52,481 for this service. Most negotiated rates run $37,154 to $69,183.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 9 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $52,481 · 10th to 90th $28,840 to $89,125
$10K$20K$50K$100Kfacility $52,481

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$31,622.78
Median
$57,543.99
Typical High
$89,125.09
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$28,840.32
Median
$81,283.05
Typical High
$117,489.76
Cigna
Setting
Facility
Modifier
Global
Typical Low
$28,840.32
Median
$52,480.75
Typical High
$77,624.71
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$61,659.50
Median
$61,659.50
Typical High
$74,131.02
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$31,622.78
Median
$57,543.99
Typical High
$70,794.58
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$22,908.68
Median
$57,543.99
Typical High
$112,201.85
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$31,622.78
Median
$52,480.75
Typical High
$83,176.38
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$26,915.35
Median
$33,884.42
Typical High
$56,234.13
United
Setting
Facility
Modifier
Global
Typical Low
$5,623.41
Median
$45,708.82
Typical High
$81,283.05

Where Pennsylvania sits

The same service costs 4.5 times more in Alaska than in Michigan. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Pennsylvania· 29th of 51

$52,481

AK $95,499MI $21,380

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.